Endoscopic 4-MHz Radiofrequency Treatment of Facet Joint Syndrome Is More Than Just Denervation: One Incision for Three Facets
Conclusion In this retrospective study, we demonstrated the practicability and effectiveness of the endoscopic facet joint denervation procedure in the treatment of chronic low back pain using only one incision for three facets. Further studies should investigate if this procedure is more effective than percutaneous radiofrequency denervation. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - January 14, 2020 Category: Neurosurgery Authors: Woiciechowsky, Christian Richter, Leonie Mercedes Tags: Original Article Source Type: research

Continuous Dynamic Mapping to Identify the Corticospinal Tract in Motor Eloquent Brain Tumors: An Update
Conclusions Continuous dynamic mapping was found to be a feasible and ergonomic technique for localizing the exact site of the CST and distance to the motor fibers. This new technique may improve the safety of motor eloquent tumor surgery. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - January 14, 2020 Category: Neurosurgery Authors: Seidel, Kathleen Schucht, Philippe Beck, J ürgen Raabe, Andreas Tags: Original Article Source Type: research

Somatosensory Evoked Potential and Transcranial Doppler Monitoring to Guide Shunting in Carotid Endarterectomy
Conclusion In this retrospective series of simultaneous TCD and SEP monitoring during CEA surgery of predominantly symptomatic ICA stenosis patients, the stroke and death rate was 1.4%. SEP seemed to be superior to TCD in predicting the need for an intraoperative shunt and for predicting temporary postoperative deficits. Further prospective studies are needed. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - January 14, 2020 Category: Neurosurgery Authors: Seidel, Kathleen Jeschko, Johannes Schucht, Philippe Bervini, David Fung, Christian Krejci, Vladimir Z'Graggen, Werner Fischer, Urs Arnold, Marcel Goldberg, Johannes Raabe, Andreas Beck, Juergen Tags: Original Article Source Type: research

Symptomatic Postoperative Spinal Epidural Hematoma after Spinal Decompression Surgery: Prevalence, Risk Factors, and Functional Outcome
Conclusion The prevalence of pSEH was lower than previously reported incidences. Use of anticoagulants, pathologic coagulation values, and cigarette smoking were identified as independent risk factors of pSEH. Functional outcome was related to the duration between hematoma evacuation and the clinical presentation of symptomatic pSEH. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - January 14, 2020 Category: Neurosurgery Authors: Hohenberger, Christoph Zeman, Florian H öhne, Julius Ullrich, Odo-Winfried Brawanski, Alexander Schebesch, Karl-Michael Tags: Original Article Source Type: research

Impact of Priming on Effectiveness of TMS in Detecting Language-eloquent Brain Areas in Tumor Patients
Conclusion Prior cortical activity as induced by the priming stimulation has a profound impact on the responsiveness to the nrTMS mapping paradigm. Our findings further showed that metaplasticity, a type of homeostatic plastic process, could be elicited even in cortical areas affected by a growing tumor. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - January 14, 2020 Category: Neurosurgery Authors: Freigang, Sascha Fresnoza, Shane Mahdy Ali, Kariem Zaar, Karla Jehna, Margit Reishofer, Gernot Rammel, Katrin Studencnik, Fritz Ischebeck, Anja von Campe, Gord Tags: Original Article Source Type: research

Early Rupture of a Giant Basilar Artery Aneurysm after LEO Stenting: Case Report and Review of the Literature
Conclusions Our case report highlighting the clinical course and autopsy findings of a fatal SAH shortly after stenting this giant basilar artery aneurysm adds to the few previously reported fatal cases of IA rupture after endovascular treatment. Our macroscopic and histologic findings suggested that multimodal changes of inflammation, wall sheer tress (mechanical), and recanalization were involved. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Cen...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - January 14, 2020 Category: Neurosurgery Authors: Strange, Fabio Kienzler, Jenny Muehleisen, Beda Diepers, Michael Fandino, Javier Remonda, Luca Marbacher, Serge Tags: Case Report Source Type: research

Dual Pathologies: Pial Arteriovenous Fistula in Combination with an Arteriovenous Malformation
Conclusion This is the second reported case of an AVM-associated PAVF. Without the intraoperative DSA in the hybrid operating room, this unusual complex cerebrovascular entity would likely have been missed. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - January 14, 2020 Category: Neurosurgery Authors: Jannelli, Gianpaolo Joswig, Holger Bernava, Gianmarco Meling, Torstein R. Bijlenga, Philippe Tags: Case Report Source Type: research

Symptomatic Cerebral Vasospasm after Spontaneous Subarachnoid Hemorrhage: Comparison of Single and Multiple Intra-arterial Treatment with Respect to the Functional Outcome
J Neurol Surg A Cent Eur Neurosurg DOI: 10.1055/s-0039-1698434 Objective In cases of spontaneous subarachnoid hemorrhage (sSAH) and symptomatic cerebral vasospasm (sCVS), multiple intra-arterial treatments (IATs) can be potentially useful for the functional outcome, even if the prognosis is initially poor. But the actual influence of the number of IATs has yet to be clarified. We wanted to assess if there are differences in the functional outcome between patients with a singular IAT and multiple IATs for sCVS after sSAH. Methods In a single-center study, 405 consecutive patients with nontraumatic SAH were a...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - November 27, 2019 Category: Neurosurgery Authors: Neumann, Alexander Ditz, Claudia Schacht, Hannes Aulmann, Linda Tronnier, Volker Martin Schramm, Peter K üchler, Jan Nils Tags: Original Article Source Type: research

Quantitative Analysis of Superb Microvascular Imaging versus Color-Coded Doppler Sonography for Preoperative Evaluation of Vascularization of Schwannomas
Conclusion The mSMI mode is qualitatively superior to conventional CCDS; however, quantitative analysis of the vascularization of schwannomas revealed no significant quantitative advantage for mSMI. Nevertheless, the mean ImageJ values showed a positive trend toward a better representation of the vascularization degree of schwannomas with mSMI. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - November 27, 2019 Category: Neurosurgery Authors: Kloth, Christopher Eissler, Alexandra Schmidberger, Julian Gr äter, Tillmann Scheuerle, Angelika Kratzer, Wolfgang Pedro, Maria Teresa Tags: Original Article Source Type: research

A Comparison between Pediatric and Adult Patients after Cranioplasty: Aseptic Bone Resorption Causes Earlier Revision in Children
Conclusion Pediatric patients demand specific care when cranioplasty is performed following DC. We identified age as an independent risk factor. The higher number of fragments appears to be a correlation due to the higher number of TBIs in children. Our data indicate that young age is the most important risk factor for the development of ABR as a frequent and early complication with a shorter revision-free time interval in children. Consequently, the uncritical use of cryopreserved autologous bone flaps should be questioned in this population. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme e...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - November 27, 2019 Category: Neurosurgery Authors: G öttsche, Jennifer Fritzsche, Friederike Kammler, Gertrud Sauvigny, Thomas Westphal, Manfred Regelsberger, Jan Tags: Original Article Source Type: research

Interobserver Agreement of White Matter Tract Involvement in Gliomas with Diffusion Tensor Tractography
Conclusion DTT is a reliable and reproducible method for assessment of white matter tract involvement in patients with low- and high-grade gliomas. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - November 27, 2019 Category: Neurosurgery Authors: Abdel Razek, Ahmed Abdel Khalek El-Serougy, Lamiaa Ezzat, Amani Eldawoody, Hany El-Morsy, Ahmad Tags: Original Article Source Type: research

Clinical Outcome of Dorsal Cervical C1 –C2 Fusion Using C1 Lateral Mass Screws, C2 Lamina Screws, and Interarcual Bone Graft Technique
Conclusion Dorsal cervical C1–C2 fusion using C1 lateral mass screws, C2 lamina screws, and interarcual bone graft are less common techniques, although they can be used safely and demonstrated excellent clinical results with regard to pain relief and a high fusion rate. The technique is an ideal alternative when other techniques are not safe for anatomical reasons. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - November 19, 2019 Category: Neurosurgery Authors: Tosic, Lazar Baschera, Dominik Oberle, Joachim Golubovic, Jagos Alfieri, Alex Tags: Original Article Source Type: research

Endovascular Retreatment of Cerebral Aneurysms Previously Treated with Endovascular Embolization
J Neurol Surg A Cent Eur Neurosurg DOI: 10.1055/s-0039-1685513 Objective Intracranial aneurysms treated with endovascular coil embolization may recur. We investigated the factors affecting aneurysmal recurrence after embolization and effects of endovascular retreatment within 1 year. Methods In 3 years, 1335 patients with 1385 intracranial aneurysms were treated with coil embolization. Factors affecting aneurysm recurrence and the effects of endovascular retreatment were analyzed. Results Angiography immediately following embolization showed total occlusion in 1030 aneurysms (74.4%), neck remnant in...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - November 19, 2019 Category: Neurosurgery Authors: Li, Hui Gao, Bu-Lang Li, Cong-Hui Wang, Ji-Wei Liu, Jian-Feng Yang, Song-Tao Tags: Original Article Source Type: research

Erratum: Endoscopic Transnasal Resection of Suprasellar Teratoma
J Neurol Surg A Cent Eur Neurosurg DOI: 10.1055/s-0039-3400464 Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - November 8, 2019 Category: Neurosurgery Authors: Ajlan, Abdulrazag M. Albakr, Abdulrahman Alsaleh, Saad Alkhalidi, Hisham Tags: Erratum Source Type: research

Impact of Multi-modality Monitoring Using Direct Electrical Stimulation to Determine Corticospinal Tract Shift and Integrity in Tumors using the Intraoperative MRI
Conclusions Combining information about intraoperative CST and DES in the iMRI can enhance resection in brain tumors (77% had a GTR). The relative relationship between the positions of the CST to the resection cavity can be a dynamic process that could further influence the surgeon's decision about the stimulation parameters and EOR. Also, the patients with an OS of the CST relative to the resection cavity had a GTR comparable with the other groups. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - October 28, 2019 Category: Neurosurgery Authors: Krivosheya, Daria Rao, Ganesh Tummala, Sudhakar Kumar, Vinodh Suki, Dima Bastos, Dheigo C.A. Prabhu, Sujit S. Tags: Surgical Technique Source Type: research

Accelerated Clustered Sparse Acquisition to Improve Functional MRI for Mapping Language Functions
J Neurol Surg A Cent Eur Neurosurg DOI: 10.1055/s-0039-1691821 Background Functional magnetic resonance imaging (fMRI) is a useful method for noninvasive presurgical functional mapping. However, the scanner environment is inherently unsuitable for the examination of auditory and language functions, due to the loud acoustic noise produced by the scanner. Interleaved acquisition methods alleviate this problem by providing a silent period for stimulus presentation and/or response control (sparse sampling) but at the expense of a diminished amount of data collected. There are possible improvements to these sparse acqui...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - October 28, 2019 Category: Neurosurgery Authors: Keil, Phillip Nettekoven, Charlotte Weiss, Kilian Lichtenstein, Thorsten Goldbrunner, Roland Giese, Daniel Weiss Lucas, Carolin Tags: Original Article Source Type: research

Posterior Fossa Arteriovenous Malformations: Experience with 14 Patients and A Systematic Review of the Literature
Conclusions Because pfAVMs are associated with higher rates of hemorrhagic presentation, higher rates of morbidity and mortality when ruptured, and have a higher incidence of AAs compared with stAVMs, early curative treatment is recommended as soon as the diagnosis is established, regardless of rupture status. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - October 28, 2019 Category: Neurosurgery Authors: Corniola, Marco V. Meling, Torstein R. Bijlenga, Philippe Bernava, Gianmarco Machi, Paolo Schaller, Karl Tags: Original Article Source Type: research

Clinical Research on Delayed Cure after Microvascular Decompression for Hemifacial Spasm
J Neurol Surg A Cent Eur Neurosurg DOI: 10.1055/s-0039-1698461 Objective The clinical data of patients with hemifacial spasm (HFS) were analyzed statistically to identify factors leading to delayed cure after microvascular decompression (MVD). Methods A retrospective analysis of the clinical data of 600 patients with HFS subjected to MVD from March 2016 to May 2018 was performed. Student t test, chi-square test, logistic regression analysis, and multivariate analysis of variance were used to analyze the correlation between delayed cure and its related factors. Results Among the 600 patients enrolled...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - October 10, 2019 Category: Neurosurgery Authors: Li, Ming-Wu Jiang, Xiao-feng Wu, Min He, Fang Niu, Chaoshi Tags: Original Article Source Type: research

Assessment of Skin Flaps Above Cranial Defects Following Craniectomy: A Proposed Classification System
Conclusions The SCD classification facilitates the reproducible and objective assessment of SCDs, enabling reliable monitoring over time and between individuals. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - October 7, 2019 Category: Neurosurgery Authors: Schwarz, Falko Simon, Mich èle Lawson McLean, Aaron Kalff, Rolf Waschke, Albrecht Tags: Original Article Source Type: research

Long-term Outcomes Following Lumbar Microendoscopic Diskectomy and Microendoscopic Decompression: Minimum 10-year Follow-up Evaluation Performed Using a Patient-based Outcome Measure
J Neurol Surg A Cent Eur Neurosurg DOI: 10.1055/s-0039-1688559 Study Design Retrospective study of prospectively collected outcome data. Background No studies have evaluated the long-term outcomes following microendoscopic diskectomy for lumbar disk herniation (MEDH) and microendoscopic decompression for lumbar spinal stenosis (MEDS) using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ). Objective To assess the minimum 10-year outcomes following MEDH and MEDS. Patients and Methods Seventy-six patients were classified into three groups: disk herniation (DH) g...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - October 3, 2019 Category: Neurosurgery Authors: Aihara, Takato Endo, Kenji Suzuki, Hidekazu Sawaji, Yasunobu Urushibara, Makoto Matsuoka, Yuji Takamatsu, Taichiro Murata, Kazuma Kusakabe, Takuya Maekawa, Asato Ouchi, Juntaro Tags: Original Article Source Type: research

Glioblastoma Multiforme and Genetic Mutations: The Issue Is Not Over Yet. An Overview of the Current Literature
Conclusion From the introduction of the first standard of care (SOC) established in 2005 in patients with a new diagnosis of GBM, a great number of trials have been conducted to improve the actual SOC, but the real turning point has never been achieved or is yet to come. Surgical gross total resection, with at least one more reoperation, radiation therapy plus concomitant and adjuvant temozolomide chemotherapy currently remains the current SOC for patients with GBM. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  | ...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - September 24, 2019 Category: Neurosurgery Authors: Montemurro, Nicola Tags: Review Article Source Type: research

Multicentric Registry Study on Epidemiological and Biological Disease Profile as Well as Clinical Outcome in Patients with Low-Grade Gliomas: The LoG-Glio Project
Conclusion The LoG-Glio registry has been successfully implemented. Applied selection criteria result in an appropriately balanced patient cohort. Short-term outcome data on epidemiology as well as the influence of current surgical techniques and adjuvant treatment on patient outcomes are expected. In the long run, the aim of the registry is to validate the new molecular-based WHO classification and the influence of the extent of resection on progression-free survival and OS. The registry provides an open platform for future research projects benefiting patients with LGG. Trial registration NCT02686229 Clinica...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - September 24, 2019 Category: Neurosurgery Authors: Pala, Andrej Nadji-Ohl, Minou Faust, Katharina R ückriegel, Stefan Roder, Constantin von der Brelie, Christian Forster, Marie-Therese L öbel, Franziska Schommer, Stefan L öhr, Mario Gr übel, Nadja Rothenbacher, Dietrich K önig, Ralph Engelke, Jens Sc Tags: Original Article Source Type: research

Effectiveness of Surgical Treatments for Basal Ganglia Hemorrhage and Imaging Factors Affecting Hematoma Evacuation Rate by Neuroendoscopic Surgery
J Neurol Surg A Cent Eur Neurosurg DOI: 10.1055/s-0039-1698523 Background Basal ganglia hemorrhage (BGH) is a devastating neurologic disease with high morbidity and mortality, and its management is still controversial. We evaluated the effectiveness of surgical treatments for BGH and investigated computed tomography (CT) imaging features affecting the hematoma evacuation rate (ER) in patients treated with neuroendoscopic surgery. Materials and Methods A total of 104 BGH patients who underwent craniotomy, burr-hole drainage, or neuroendoscopic surgery were analyzed retrospectively. Clinical characteristics, ...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - September 24, 2019 Category: Neurosurgery Authors: Guo, Ai-Shun Lin, Guo-Shi Xie, Da-Hua Huang, Yan Zhou, Chang-Fu Chen, Yan-Feng Sun, Mei-Zhen Shi, Gui-Mei Lin, Rui-Sheng Tags: Original Article Source Type: research

Microsurgical Treatment of Anterior Communicating Artery Aneurysms: A 20-year Single-institution Experience
Conclusions Posterior and superior projections are the most complex to deal with because of the difficult dissection of the perforators and the contralateral A2, respectively. Approaching from the side of the dominant A1 ensures a prompt proximal control. Searching preoperatively for an eventual rotation of the AComA complex and for the location of the A2s can be very helpful for intraoperative orientation. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Par...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - September 23, 2019 Category: Neurosurgery Authors: Pietrantonio, Andrea Trungu, Sokol Delfini, Roberto Raco, Antonino Tags: Original Article Source Type: research

Of Cestodes and Men: Surgical Treatment of a Spinal Hydatid Cyst
Conclusions For lytic manifestations of the vertebral column, hydatid cysts should be considered a differential diagnosis in addition to malignant metastasis, tuberculosis, and osteomyelitis. Thorough surgical resection and strict follow-up are necessary. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - September 4, 2019 Category: Neurosurgery Authors: Saul, Dominik Seitz, Mark-Tilmann Weiser, Lukas Oberth ür, Swantje Roch, Jonathan Bremmer, Felix Perske, Christina Viezens, Lennart Sehmisch, Stephan Lehmann, Wolfgang Tags: Case Report Source Type: research

Markers for Identifying and Targeting Glioblastoma Cells during Surgery
J Neurol Surg A Cent Eur Neurosurg DOI: 10.1055/s-0039-1692976Glioblastoma is a highly malignant tumor with a poor prognosis. A factor influencing survival that can be affected by the surgeon is the extent of resection (EOR). Due to the infiltrative nature of the tumor, delineation of tumor from normal brain parenchyma is often challenging. To improve EOR and facilitate tumor visualization, several techniques have been developed over the last few years. This literature review presents an overview of current intraoperative strategies for identifying and targeting glioma cells and discusses the benefits and limitations of ea...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - August 29, 2019 Category: Neurosurgery Authors: Schipmann, Stephanie Schwake, Michael Molina, Eric Suero Stummer, Walter Tags: Review Article Source Type: research

Decompression and Dynamic Transpedicular Stabilization Using Polyetheretherketone Rods and Pedicle Screws vs. Decompression Alone for Single-Level Spinal Canal Stenosis with Listhesis: A Retrospective Case-Control Study
Conclusion No indications in our study showed that additional dynamic stabilization with PEEK rods offers any advantage over decompression alone. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - August 29, 2019 Category: Neurosurgery Authors: Tosic, Lazar Baschera, Dominik Oberle, Joachim Alex, Alfieri Tags: Original Article Source Type: research

Typical Trigeminal Neuralgia: Comparison of Results between Patients Older and Younger than 65 Operated on with Microvascular Decompression by Retrosigmoid Approach
Conclusions On the basis of our experience and the international literature, age itself does not seem to represent a major contraindication of MVD for TN. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - August 29, 2019 Category: Neurosurgery Authors: Mastronardi, Luciano Caputi, Franco Rinaldi, Alessandro Cacciotti, Guglielmo Roperto, Raffaelino Scavo, Carlo Giacobbo Stati, Giovanni Sufianov, Albert Tags: Original Article Source Type: research

Is Precise Targeting of the Recipient Artery in a Superficial Temporal Artery –Middle Cerebral Artery Anastomosis Crucial?
Conclusions The present results revealed no significant differences in the change in rCBF in the low-perfusion area between the patients whose recipient arteries were selected by SPECT or visual assessment. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - August 29, 2019 Category: Neurosurgery Authors: Katano, Hiroyuki Yamada, Hiroshi Nishikawa, Yusuke Yamada, Kazuo Miyachi, Shigenori Mase, Mitsuhito Tags: Original Article Source Type: research

Intracranial Acute Subdural Hematoma Following Spinal Anesthesia: Our Experience with Six Patients
Conclusion Although uncommon, intracranial ASDH should be considered in patients following spinal anesthesia, especially those with a prolonged headache after the procedure. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - August 29, 2019 Category: Neurosurgery Authors: Elshanawany, Ahmed M. Wahab, Amani Hassan Abdel Tags: Original Article Source Type: research

Predicting Outcome and Conservative Treatment Failure in Patients with Skull Fracture after Traumatic Brain Injury: A Retrospective Cohort Study
Conclusions Tests included in the complete blood count appeared useful for predicting the course in patients with SF, although the most important factors were age and neurologic status, as well as radiologic findings. Our decision tree requires further validation before it can be used in everyday practice. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - August 29, 2019 Category: Neurosurgery Authors: Bobeff, Ernest J. Posmyk, Bart łomiej J. Bobeff, Katarzyna Ł. Fortuniak, Jan Wi śniewski, Karol Stawiski, Konrad Stefa ńczyk, Ludomir Jask ólski, Dariusz J. Tags: Original Article Source Type: research

Implementation of Transforaminal Endoscopic Lumbar Sequestrectomy in a German University Hospital Setting: A Long and Rocky Road
Conclusions The transforaminal endoscopic sequestrectomy can be safely implemented in a university hospital setting in selected patients with primary and recurrent lumbar disk herniations, and it leads to good clinical and radiologic results. However, learning curve, caseload, and residents' microsurgical training requirements clearly affect the implementation process. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - August 29, 2019 Category: Neurosurgery Authors: Bender, Michael Gramsch, Carolin Herrmann, Lukas Kim, Seong Woong Uhl, Eberhard Sch öller, Karsten Tags: Original Article Source Type: research

A Novel Prognostic Marker in Patients Undergoing Spinal Surgery: Prognostic Nutritional Index
J Neurol Surg A Cent Eur Neurosurg DOI: 10.1055/s-0039-1693031 Objective The relationship of a preoperative Prognostic Nutritional Index (PNI) with perioperative adverse events (PAEs) other than delirium has never been described in patients undergoing spinal surgery. We aimed to evaluate the impact of admission PNI on the outcome of patients undergoing spinal surgery. Methods Medical records of 408 consecutive patients 50 years or older undergoing spinal surgery were reviewed. Patients' information including demographic data, routine preoperative laboratory tests, and PNI were collected to assess the associ...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - August 29, 2019 Category: Neurosurgery Authors: Acarba ş, Arsal Tags: Original Article Source Type: research

Resolution of Brainstem Edema after Neurosurgical Occlusion of Dural Arteriovenous Fistulas of the Craniocervical Junction: Report of Three Cases and Review
Conclusion Edema of the brainstem and cervical cord may be caused by a dural arteriovenous fistula of the craniocervical junction. Surgical occlusion may be an efficient option for the complete resolution of radiologic and clinical symptoms. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - August 29, 2019 Category: Neurosurgery Authors: Firsching, Raimund Kohl, Jana Skalej, Martin Beuing, Oliver Tags: Case Report Source Type: research

Early Prognostication after Traumatic Brain Injury: Specific Validation of the IMPACT Prognostic Calculator in a Level 1 Trauma Center
J Neurol Surg A Cent Eur Neurosurg DOI: 10.1055/s-0039-1685137The present study evaluated the usefulness of the IMPACT prognostic calculator (IPC) for patients receiving acute neurointensive care at a level 1 trauma center in Germany. A total of 139 patients with traumatic brain injury (TBI) were assessed. One day after trauma, the extended model of the IPC was found to provide the most valid prediction of 6-month mortality/unfavorable outcome. Different time frames within the first day could be determined by analyzing mild, moderate, and severe TBI cohorts. The CORE + CT model at time frame Z2 (
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - August 20, 2019 Category: Neurosurgery Authors: Jung, Anna Arlt, Felix Rosolowski, Maciej Meixensberger, J ürgen Tags: Original Article Source Type: research

Describing a New Mechanism of Retinal Detachment Secondary to Ophthalmic Artery Vasospasm Following Subarachnoid Hemorrhage: An Experimental Study
This study was conducted on 25 rabbits. Five animals were in the control group (GI; n = 5), five in the sham group (GII; n = 5), and 15 in the study group (GIII; n = 15). After injection of 1 cc serum saline into the cisterna magna in the sham group, and autologous blood in the SAH group, the animals were followed for 3 weeks. All animals underwent a retinal examination five times a week for 3 weeks before and after the experiment. After the experiment, the neuron density of PPGs of the facial nerves, vasospasm index (VSI) of OpAs, and total basal surface values of the detac...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - August 20, 2019 Category: Neurosurgery Authors: Findik, Huseyin Kanat, Ayhan Aydin, Mehmet Dumlu Cakir, Murteza Ozmen, Sevilay Akalp Okutucu, Murat Baykal, Orhan Sipal, Sare Tags: Original Article Source Type: research

Suspected Pulmonary Embolism after Oxygen-Ozone Therapy for Low Back Pain
We describe a case of suspected pulmonary embolism, followed by sudden death, in an elderly woman treated with oxygen-ozone therapy for lumbar pain caused by disk protrusion. We believe a massive pulmonary embolism occurred, probably caused by an intradiskal injection that accidentally punctured a venous vessel and created emboli. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - August 20, 2019 Category: Neurosurgery Authors: Chirchiglia, Domenico Chirchiglia, Pasquale Stroscio, Carmelino Volpentesta, Giorgio Lavano, Angelo Tags: Case Report Source Type: research

A Simple Retractor for Anterior Cervical Diskectomy
Conclusion This newly designed retractor system is simple and efficient for a single-level anterior cervical diskectomy, and its insertion is relatively easy. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - August 13, 2019 Category: Neurosurgery Authors: Eftekhar, Behzad Tags: Surgical Technique Source Type: research

Dual-Use Intraoperative MRI in Glioblastoma Surgery: Results of Resection, Histopathologic Assessment, and Surgical Site Infections
This article assesses the rate of gross total resection (GTR), extent of resection (EOR), and histopathology after iMRI-guided resections in patients with GBM. The rate of surgical site infections (SSIs) is evaluated. Methods In all, 79 patients with GBM were operated on with iMRI. Additional resection was performed if iMRI depicted contrast enhancing tissue suggestive of residual tumor. GTR and EOR were determined by segmentation and volumetric analysis of the MR images. SSIs and the role of intravenous only or intravenous plus intrathecal antibiotics were evaluated. Statistical analysis was performed to detect th...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - July 4, 2019 Category: Neurosurgery Authors: Wach, Johannes Goetz, Claudia Shareghi, Kasra Scholz, Torben He ßelmann, Volker Mager, Ann-Kathrin Gottschalk, Joachim Vatter, Hartmut Kremer, Paul Tags: Original Article Source Type: research

Cardiac Arrest in Patients with Poor-Grade Aneurysmal Subarachnoid Hemorrhage: A Single-Center Experience
J Neurol Surg A Cent Eur Neurosurg DOI: 10.1055/s-0039-1685506 Background Poor-grade aneurysmal subarachnoid hemorrhage (SAH), in particular Hunt and Hess (H&H) grade 5 SAH, still has a high case-fatality rate. Recent studies regarding the clinical outcome of such patients and the influence of comorbidities, especially cardiac arrest (CA) requiring additional cardiopulmonary resuscitation (CPR), on the outcome of these patients are scant. Our primary objective was to assess the outcome of SAH H&H grade 5 patients and the influence of additional CA and requirement for CPR. Methods All patients with s...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - July 4, 2019 Category: Neurosurgery Authors: Ridwan, Sami Kristof, Rudolf Tags: Original Article Source Type: research

Spontaneous Aneurysmal Subarachnoid Hemorrhage and Related Cortisol and Immunologic Alterations: Impact on Patients' Health-related Quality of Life
Conclusions Early cortisol and IL-6 levels may predict patients' HRQoL after SAH. Twelve months after SAH, a considerable percentage of patients with a presumably good outcome (mRS 0–2) had a lower HRQoL compared with the general population. Implementing corresponding tests at discharge and 12-month follow-up is recommended. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - July 4, 2019 Category: Neurosurgery Authors: Ridwan, Sami Greschus, Susanne Bostr öm, Jan Barrera, Julio Esche, Jonas Zur, Bernd Klingm üller, Dietrich Bostr öm, Azize Tags: Original Article Source Type: research

Endoscopic Treatment of Acute Subdural Hematoma with a Normal Small Craniotomy
Conclusion A small craniotomy around the superior temporal line provides an optimal window to evacuate an acute SDH and achieve hemostasis using an endoscope. Endoscopic evacuation of acute SDHs could be effective in selected cases. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - July 4, 2019 Category: Neurosurgery Authors: Hwang, Sun-Chul Shin, Dong-Seong Tags: Original Article Source Type: research

Association between Vertebral Artery Hypoplasia and Vertebral Artery Aneurysms: A Case-Control Study
J Neurol Surg A Cent Eur Neurosurg DOI: 10.1055/s-0038-1677453 Background The aim of this retrospective case-control study was to determine the association of vertebral artery hypoplasia (VAH) and other anatomical variants with saccular vertebral artery posterior inferior cerebellar artery (VA-PICA) aneurysms. Methods The frequency of VAH, vertebral artery (VA) atresia, VA aplasia, and PICA aplasia was analyzed using computed tomography (CT) angiography in 64 patients with VA-PICA aneurysms (43 ruptured and 21 unruptured) and compared with 128 age- and sex-matched controls. Logistic regression was performed...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - July 4, 2019 Category: Neurosurgery Authors: Harati, Ali Zeh, Dominik Rohde, Stefan Schulthei ß, Rolf Schmieder, Kirsten Hernesniemi, Juha Tags: Original Article Source Type: research

Diffusion Tensor Imaging for Surgical Planning in Patients with Cervical Spondylotic Myelopathy
Conclusion DTI parameters are highly sensitive at distinguishing surgical from nonsurgical levels in CSM patients and might therefore represent a less invasive alternative to CTM for surgical planning. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - June 10, 2019 Category: Neurosurgery Authors: Sch öller, Karsten Siller, Sebastian Brem, Christian Lutz, J ürgen Zausinger, Stefan Tags: Original Article Source Type: research

Frequency of and Risk Factors for Chronification in Traumatic Acute Subdural Hematoma following Conservative Therapy
Conclusion Chronification occurred in a third of all patients with conservatively treated aSDH, on average within 3 weeks. The probability of developing a cSDH is 0.96 times higher with every yearly increase in age, resulting in 56% chronification in patients ≥ 70 years. Hematoma thickness and impairment of the coagulation system such as anticoagulant medication (ASA, Coumadin, and NOACs) or thrombocytopenia are further risk factors for chronification. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  | &n...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - June 10, 2019 Category: Neurosurgery Authors: Kaestner, Stefanie van den Boom, Marina Deinsberger, Wolfgang Tags: Original Article Source Type: research

A Rare Case of Parietal Skull Fibrosarcoma: Reconstruction with Free Myocutaneous Flap and Infrared Thermography Monitoring
We report a case of a male patient surgically treated by radical tumor excision and plastic reconstruction with a free myocutaneous latissimus dorsi flap. Revascularization on the side of the intervention was verified intraoperatively by using an infrared thermography camera in the follow-up period to evaluate flap vitality in addition to standard clinical monitoring. We observed no complications and achieved a good aesthetic result. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Ne...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - June 6, 2019 Category: Neurosurgery Authors: Romansky, Roman Naydenov, Emanuil Komitski, Stefan Tags: Technical Note Source Type: research

A Rare Case of Bilateral Vertebral Artery Dissection Associated with Essential Thrombocythemia
J Neurol Surg A Cent Eur Neurosurg DOI: 10.1055/s-0039-1691754A young patient presented to our hospital with ischemic stroke. She underwent a routine blood test, head computed tomography (CT), brain magnetic resonance imaging, a bone marrow biopsy, and CT angiography. Her diagnosis was a bilateral vertebral artery dissection associated with essential thrombocythemia (ET). She was treated with antiplatelet therapy and a stent implantation. The association of bilateral vertebral artery dissection with ET is rare. An early diagnosis and timely management is key to the best outcome. [...] Georg Thieme Verlag KG Stuttgart &midd...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - June 6, 2019 Category: Neurosurgery Authors: Raza, Hafiz Khuram Jing, Jia Chen, Hao Zhu, Jienan Zhang, Zuohui Chansysouphanthong, Thitsavanh Cui, Guiyun Hua, Fang Ye, Xinchun Shi, Hongjuan Jiang, Haiyang Tags: Case Report Source Type: research

Intra-Aneurysmal Rupture of an Atheroma during the Clipping of Large Atherosclerotic Aneurysm of the Middle Cerebral Artery: A Case Report with Video Demonstration
We describe a case of an intra-aneurysmal rupture of a squeezed atheroma observed after permanent clipping of an atherosclerotic large middle cerebral artery aneurysm. After tentative clipping to treat the severe atherosclerotic aneurysm in this patient, we applied supplementary clipping to the atherosclerotic area of the aneurysmal sac. The resulting squeezing of the intra-aneurysmal atheroma caused a leakage into the subadventitial layer of the aneurysmal sac. We also discuss the potential ischemic complications of aneurysmal clipping surgery. We conclude that the surgical techniques used to treat these specific aneurysm...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - May 28, 2019 Category: Neurosurgery Authors: Chung, Yeongu Park, Wonhyoung Park, Jung Cheol Chung, Jaewoo Ahn, Jae Sung Tags: Surgical Technique Source Type: research

Adrenal Cortical Adenoma in the Spinal Canal: A Case Report and Review of the Literature
We present a case of a 46-year-old woman with lower back pain radiating to the right gluteal and posterior femoral regions, without a history of traumatic injury. Magnetic resonance imaging (MRI) of the thoracic and lumbar spine showed an intradural, extramedullary, well-circumscribed, contrast-enhancing lesion located in the T12–L1 region, hypo- to isointense on T2-weighted imaging, and isointense on T1. Complete surgical removal of the lesion, measuring 3 × 2.5 × 1 cm, was performed. The histopathologic findings revealed the lesion was an ectopic adrenal cortical adenoma, wit...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - May 24, 2019 Category: Neurosurgery Authors: Nemir, Jakob Štenger, Martina Jakov čević, Antonia Domazet, Ivan Njiri ć, Niko Paladino, Josip Tags: Case Report Source Type: research

Simultaneous Frame-assisted Stereotactic Placement of Subdural Grid Electrodes and Intracerebral Depth Electrodes
Conclusion The frame-assisted placement of subdural grid electrodes facilitates the surgical procedure for invasive video-electroencephalography monitoring in complex cases of drug-resistant focal epilepsy in which a combination of depth electrodes and subdural grid electrodes is needed, by reducing the surgical time and guaranteeing highly accurate electrode localizations. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part A: Central European Neurosurgery)
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - May 13, 2019 Category: Neurosurgery Authors: Reinacher, Peter C. Altenm üller, Dirk-Matthias Kr üger, Marie T. Schulze-Bonhage, Andreas Urbach, Horst Trippel, Michael Coenen, Volker A. Delev, Daniel Tags: Original Article Source Type: research